SSM Healthcare of Wi INC
SSM Healthcare of Wi INC was paid $202K by Medicaid between Jan 2018 and Mar 2024, across 25 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 53% of everything it billed.
BARABOO, WI 53913
Next to other Clinical Medical Laboratory providers in Wisconsin
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,999 | $35K | |
| 2019 | 1,599 | $24K | |
| 2020 | 572 | $36K | |
| 2021 | 1,577 | $66K | |
| 2022 | 591 | $28K | |
| 2023 | 510 | $9K | |
| 2024incomplete | 122 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 53% | 1,217 | 1,134 | $107K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 6.1% | 414 | 337 | $12K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 6.0% | 413 | 336 | $12K |
| 84443 | Thyroid stimulating hormone (TSH) | 5.2% | 555 | 531 | $11K |
| 80053 | Comprehensive metabolic panel | 4.2% | 710 | 649 | $9K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 3.9% | 77 | 77 | $8K |
| 80061 | Lipid panel | 3.7% | 503 | 480 | $7K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.2% | 63 | 59 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 449 | 414 | $6K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.1% | 128 | 120 | $4K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 2.0% | 850 | 801 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.9% | 414 | 279 | $4K |
13 more codes
| 80306 | 1.8% | 220 | $4K | |
| 88142 | 1.2% | 136 | $2K | |
| 87205 | <1% | 484 | $2K | |
| 87081 | <1% | 159 | $1K | |
| 87653 | <1% | 12 | $546.54 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 35 | $489.44 |
| 84439 | <1% | 26 | $277.80 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 27 | $277.50 |
| 87808 | <1% | 14 | $183.48 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 18 | $157.40 |
| 85027 | <1% | 16 | $126.34 | |
| 82043 | <1% | 13 | $97.93 | |
| 81001 | <1% | 17 | $52.48 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| The Monroe Clinic, INC. | Monroe, WI | $6.28M |
| Waupun Memorial Hospital | Beaver Dam, WI | $366K |
| Agnesian Healthcare, INC | Fond Du Lac, WI | $28K |
| SSM Health Care of Wisconsin INC | Baraboo, WI | $831.82 |
| SSM Healthcare of Wi INC | Baraboo, WI | $124.80 |
| ST Clare Imaging Services, LLC | Baraboo, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.